Junior Swimmer Asthma Action Plan
Swimmer Details
Name
Date of Birth
Parent/Guardian Name
Emergency Contact
Doctor Details
Doctor's Name
Phone
Daily Asthma Management
Medications Taken Daily (Names & Dosages)
Before Swimming Routine (if any)
Asthma Signs & Actions
Signs that Asthma is Under Control
Mild Asthma Symptoms Actions
Severe Asthma Symptoms Actions
Steps to Take in an Emergency
Additional Information
Triggers (e.g., chlorine, cold air)
Notes